HomeMy WebLinkAbout93-3200
BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
3200i.5
'f -()~--93
Date
GL:N~
E~
"
EC~ Sewer Conn
Water Conn:
Water Meter:
Job Address:
Parcell.D. #
.T.I.F.'s:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must A<:compan
All work shall be performed in accordance with City
DATE
Valuation or
Contract Price
t?. ~."D
City License Registration #
State Certified License#
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When tra inspecdo trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($16":00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICATION FOR PEIDlIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTt-lENT
1-< ;; ,JLJ I L~Y C- O,...:J S'!:
APPLICANT MI(. R. A- Y MD A.J r:> '..hl KIt.. L}/-kM
,
ADDRESS ~ ~ 7 /7 Q IlJ"J6EL L A-IVJ: z.Efl/VRI/J((hllONE tlf / -.2 /3 i)
/
OWNER fvlR., AA'IJ\-1D,Jf> A-. /.(/LL/~A,v\
JOB LOCATION 5 'ir7/ 7 ~12A-;Jbi3'~ LOT SIZE SU X 7U AREA SQ.FT.5/JOV ~
LEGAL DESCRIPTION: LOT(S) . () :5 }l t.> BLOCK SUBDIVISION
PARCEL I.D.~F 02 - 2 b -2/ . - DO / L - DC) {) I) 0 -v~ 1-0
WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install
PROPOSED
____Sign/Temp.
USE~Single Family
____Commercial
_Sign
_~love
____Demolish
_Indust,
____Swim.. Pool
, .-X-M/H
MjJ 10 f7A- f(ft~...TOthe r
ALUMINtAk
~M/F
_iF of Units
____Restaurant & Health Department Approval
BUILDING SIZE: -EXI Sr1.kJ 6 ,
Square Feet,
Height
RESIDENTIAL:
com1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmlS. **
**COPY OF CONTRACT REQUIRED.
pF.RMTTS REOllF.STED
-X-BUILDING
____ELECTRICAL
$ :57D~
valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
.-
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame ____Steel
/-1-Lu "t.1/ ""~O the r
FINISHED FLOOR ELEVATIONS:
FT, e.xt ~lIJVC-
******************************************
/,'!
it AX ()/') 0, 30
mnT.DER KEN tt)/ vEY
Signature 7..~):j.
. ~ONTRACTOR s
top..s. J . Company
....., V State Cert. or Regis t. it
'A/_ h;f. . City License Regi~U-"tion
* * * * * * * * * * * * * * * * * * * * * -/, -/, -/t * -/e * -/, * -1< -/: .:, ,': ,': ;: -/: ,', ;, ,', *
Sio-nature
Company
State Cert. or Regist. 0
City License Registration ff
********************************~*******~*
F.T.ECTRTCTAN
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 0
City Libense Registration 0
******************************************
MECHAN1CAL
OTHER
Signature
Company
State Cert, or Regist. 0
City License Registration 0
******************************************
PERHIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED R~STRICTIONS
-
Thr .undirsigned understands that this permit lay be subject to "deed restricti~ns' whith ~ay be oor~ restr.ittive than City
regulations. The undersigned assumes responsjbjljty~for. ~oMpliance with any applitable deed restrictions.
'. ? "
8. UNLICENSED CONTRACTORS AND ~ONTRACioR' ~ESPCNSIBI0ITI~S
If the OllnH has hired a contractor or contractors .to unM~hke work,th~~',a{berequir,.ed. t.o' be licensed in,accordance with
state and local regulati~ns. . If the contractor i~ not licensed as required by law, be.th the ollhC'r and contrador lIay be
. cited for a misdeneanor violation under state jaw: If the [;"ner or intended cDn~racteor.are uncertain a.s to what licensing
requirelents lay apply f~r the intended work, they are advised to contact the.City of Z~phyrhills Building Depart.ent, IBI31
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractDr{sl sign portions of the
'Contractor Sections' of this appiicat'iori for whiCh they wi)l be responsible. If ye.u, as the c,wner sign as the ce.ntraetor,
you are indicating that you, rather than the contractor, are respc,nsible for the wC<rk. If.the c.c.ntr~ctC<r wishes yc.u to sign
as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to p!r~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
.
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Cc.nstructic.n Lien Law - Hc.~eowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the ~pplieant is sOlllone other than the
"owner", I certify that 1 have [.btained a. copy of the above described dc,culllent "nd prc'IT,js~ in gc.od faith to deliver it to the
"owner" prior to cOI~ence~ent.
. ... ~ '
:1....;.: '
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in coftpliance with all
applicable laws regulating construction, zoning, and land developcent.
Application is hereby made to obtain a permit to. do work and install~tion as indicated. I certify that no work or
installation has commenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS
regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also
certify that I understand that the regulations of other governmental ~gencies ~ay apply. to the intended work, and that it is
my responsibili ty tc. identify what actions I JIIust take to be in c(ll!\pliance. Such aqu.cies include bill ,<l e HC'( I illi ted to:
. ,,~ ~...
I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive l~ndsr
Water/Wastewater Treatment
. Southwest Florida Hater.ManaQe~ent District - Wells; Cypress Bayheads, Hetland Areas, Altering HatercOUfses
I Artv corps .(If EnQin~~rs - Seawalli,Docks, Navigable Haterways
I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Waslewater Treal~en:, Septic Tanks
I US Environaental Protection AQency - Asbestos abatement
I a'lso certify that, if fill aatl?rial is to be used in Flc.od Zone "1\" c.r "A,elc.', it is undersle.c.d Ih,t a drainage plan
'addressing a "collp~nsating volullle" will be submitted which is prepared by a professional engineer registered in the State of
Florida pri(lr to pe~lllit issuance.
.
A perlit issued shall be construed to be a license to proceed tlith the we.rk arid nc.t as <luthc,rity to vie.j:,te, 'ca"ncel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Officii\J fro~ thereafter
requiring a cc.rrection c.f errors in plans; cc,nstruction, c.r violations of any cc,d~. Eyery pn~it issu,;j ohall beee.I(' invalid
unless the w~rk authorized by such permit is c['lllllenced within six 1II0nths of iS5U~n[e, c.r if \ICo1 k autl.c" ],ed bi the per.it is
suspended or abandoned for a periDd of six lonths after the t;~e the wDrk is eo~menced. One 90 day e=te~5ioll of ti&e, aay be
allowed for the per~it Hith fee charge of $15.00. The extension shall be requested in Mrlling to the Building Official, An
approved inspectic,n /'.lust be Ic.gged during each six month period, Cor the pre.jecl Mill be (c.nsiderEd ilb.;\.oe.rlfd.
MAY
RESULT
INTEND
BEFORE
DO NOT
MY COMMISSID
...~~
i 1!:JIti lfi
MELVIN JAMES MARSHALL
Notay Public. State of FlorIda
My Comm. ExpIAM Sept. 3. 1996
No. CC 2257<<)
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KEN WILEY CONSTRUCTION-MAINTENANCE INC.
1214 Bobolink Crystal Springs Fl.
782-0546
?~OPOSAL SUBMITTED TO: M~. j(A-yMO~Df+..I<tLLI-f/trtvf
_~.DDRESS ~ ~ ~ (! ~ 6 E./t.. L ~~
'= ~ TY : < ~ Y; L S L- PHONE: ... 2 73 D
DATE: /l-PI(IL 2~
JOB# /11 7
~e hereby submit specifications and estimates for:
/0 II-
IE XriE/'JD
Ex 1~-7iJJt
S P/)Y,:J 25 It-
/>141/0 eAIr?~/ /Pool-
r~/JtA. W117f. t! t(rrE~ IX. FA-CIA-
~D M A. 77::.. II-
N l5 .,. rL ;:> /)5 -r -tX ~
;.:J ore.. Pe~/-r fE:xrlZA
\\e hereby propose to furnish labor and materials-complete in accordance
'..i;.th the above specifications,for the sum of $ 3?D.oo /xx Dollars
?LUS: I. ";1p :::2 3 t '1-0 .. 'fl ~ t ~O
o E'Pos(-r- , ;1 () D!.! 13 ~ L J:l.,.j Co fiE. 0"; (' OM PL. ~77tJl0l ':2 I :s' .1-0
A~~ material guaranteed to be as specified. All work to be completed In
a workmanlike mahner according to. standard practices. '~ny alteration
:rom the specifications involving extra costs,will become an extra
uUcharge over,and above the estimate. All agreement~ contingent upon
f:~ strlkes,acCldents or delays beyond our control. Flnal payment due the
.t/ ~ay of ~~e3ta~tia~ completion,payed to the installer or authorized rep-
cesentative. We shall then issue a Wavier of Lien. Amounts past due
are subject to 1~% per month interest,should collection be required,
owner shall pay reasonable attorney fees. Venue of any suit concerning
~his proposal shall be in Pasco County, Florida. All accepted proposals
over $1,000.00 may require a Notice of Commencement in accordance with
Section 713.13 of the Florida Statues. The contractor carries all In-
surance required by Federal,State,County and City Statues,all other lia-
jllities shall be therespons5bility of the owner. This proposal sub-
~ect to acceptance within ~ days and is void thereafter at the
Optlon of the undersigned.
~~)J{Jt
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are hereby accepted.
You are authorized to do the work as specified, Payment will be
~ade as outlined above. ~ 17
.'.CCEPTED, SIGNATU~d~/
JATO, tJf/l...i :27 SIGNATURE
?ROPERTY DESCRIPTION:()2-2~ -2/-0{)/C-OtJDOU -o3'fO
.